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1400 East Bert Kouns Shreveport, LA 71105
(318) 222-8402 / 1-800-437-0153
Click here to fill out your patient forms
Home
Meet the Doctors
Alan B. Richards, M.D.
John D. Hinrichsen, M.D.
Amy E. Coburn, O.D.
Your Office Visit
What to Expect
Eyesight Quiz
Patient Forms
Patient Regsitration Process
Authorization to Disclose Health Information
Surgery
Surgery Information
Pre and Post-Op Photos
Common Eye Problems/FAQ
Education and Resources
Allergic Conjunctivitis
Amblyopia: The Lazy Eye
Antibiotics
Blocked Tear Ducts
Conjunctivitis: Red Eye or Pink Eye
Contact Lenses
Convergence Insufficiency/Vision Therapy
The Eyes and Learning Disabilities
Eyeglasses In Children
Headaches In Children
Infants and Children with Crossed Eyes
Eye Problems Associated with Juvenile Arthritis
Nearsightedness, Farsightedness and Astigmatism
Pediatric Cataracts
Ptosis: Droopy Eye
Contact Us
Shreveport
Monroe
Patient Satisfaction Survey
Menu
Home
Meet the Doctors
Alan B. Richards, M.D.
John D. Hinrichsen, M.D.
Amy E. Coburn, O.D.
Your Office Visit
What to Expect
Eyesight Quiz
Patient Forms
Patient Regsitration Process
Authorization to Disclose Health Information
Surgery
Surgery Information
Pre and Post-Op Photos
Common Eye Problems/FAQ
Education and Resources
Allergic Conjunctivitis
Amblyopia: The Lazy Eye
Antibiotics
Blocked Tear Ducts
Conjunctivitis: Red Eye or Pink Eye
Contact Lenses
Convergence Insufficiency/Vision Therapy
The Eyes and Learning Disabilities
Eyeglasses In Children
Headaches In Children
Infants and Children with Crossed Eyes
Eye Problems Associated with Juvenile Arthritis
Nearsightedness, Farsightedness and Astigmatism
Pediatric Cataracts
Ptosis: Droopy Eye
Contact Us
Shreveport
Monroe
Patient Satisfaction Survey
Patient Registration Process
Welcome to our Patient Registration Process. This process is composed of 3 Steps.
Step 1:
Demographic Form
Step 2:
Adult or Child Form
Step 3:
Patient Statements and Acknowledgements
****Please note that you will automatically be taken through each step upon successful completion of each required form.****
CLICK HERE TO BEGIN
*
Click here if you are required to complete an Authorization to Disclose Health Information (PDF Download)